Use of Smartphones to Collect Information about Health Behaviors: Feasibility Study

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Second Text Message Survey	Form	New	Available
First Text Message	Form	New	Available
Second Smartphone Survey	Form	New	Available
Smartphone Web Survey Follow-up	Form	New	Available
CATI Survey	Form	New	Available
CATI Screener	Form	New	Available
CATI Survey	Form	New	Available
Pre-test Screener	Form	New	Available
Supporting Statement_B_4 08 2013.docx	Supporting Statement B	Uploaded 2013-04-17	Available
Appendix B2. Comments in Response to the Federal Register Notice.doc	Supplementary Document	Uploaded 2013-04-17	Available
Appendix B1. 60-day FRN 2 27 2012.pdf	Supplementary Document	Uploaded 2013-04-17	Available
Appendix A. Authorizing Legislation.doc	Supplementary Document	Uploaded 2013-04-17	Available
Appendix G2. Invitation for First Text Message Survey Follow-up for non-Smartphone Users.docx	Supplementary Document	Uploaded 2013-04-17	Available
Appendix E2. Invitation for First Web Survey Follow-up for Smartphone Users.docx	Supplementary Document	Uploaded 2013-04-17	Available
Appendix C2. CATI Informed Consent Statement.doc	Supplementary Document	Uploaded 2013-04-17	Available
Supporting Statement_A_03192013.docx	Supporting Statement A	Uploaded 2013-04-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
206650	Second Text Message Follow-up for Non-Smartphone Users	Form	New	Second Text Message Survey
206649	First Text Message Survey Follow-up for Non-Smartphone Users	Form	New	First Text Message
206648	Second Web Survey Follow-up for Smartphone Users	Form	New	Second Smartphone Survey
206647	First Web Survey Follow-up for Smartphone Users	Form	New	Smartphone Web Survey Follow-up
206646	CATI Recruitment	Form	New	CATI Survey
206645	CATI Screener	Form	New	CATI Screener
206644	Pre-test CATI Screener/CATI Recruitment	Form	New	CATI Survey
206644	Pre-test CATI Screener/CATI Recruitment	Form	New	Pre-test Screener

ICR Details

OMB Control No: 0920-0972	ICR Reference No: 201304-0920-013
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 19284
Title: Use of Smartphones to Collect Information about Health Behaviors: Feasibility Study
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/10/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/23/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2014	12 Months From Approved
Responses	5,265	0	0
Time Burden (Hours)	306	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: CDC is conducting a feasibility study to evaluate the utility of smartphones for collecting information related to tobacco use and other health behaviors from adults in the U.S.

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Authorizing Statute(s): US Code: 42 USC 301 Name of Law: Public Health Service Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 11545	02/27/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 22551	04/16/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
CATI Recruitment	none	CATI Survey
CATI Screener	none	CATI Screener
First Text Message Survey Follow-up for Non-Smartphone Users	none	First Text Message
First Web Survey Follow-up for Smartphone Users	none	Smartphone Web Survey Follow-up
Pre-test CATI Screener/CATI Recruitment	none, none	Pre-test Screener ,   CATI Survey
Second Text Message Follow-up for Non-Smartphone Users	none	Second Text Message Survey
Second Web Survey Follow-up for Smartphone Users	none	Second Smartphone Survey

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	5,265	0	0	5,265	0	0
Annual Time Burden (Hours)	306	0	0	306	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new data collection request.

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Annual Cost to Federal Government: $117,154

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/23/2013

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